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�- <br /> CITY OF ORONO - BIIIZ.DING PER'�LIT APPLIC�,TION <br /> Total Fee- $ 7 � S� Date Received: ��-L�` ��� <br /> Date P_��roved: <br /> �, _ - - <br /> Entered By: � ,�� �-��,j . <br /> P e^*�i t Q: 7 <br /> AT•7• INFORMATION MIIST BE SIIBMIT'�� IN FITLL BEFORE PZ.AN REVIEW WII�L B$ STAR�ED <br /> (See Check-off List Enclosed) <br /> ---------------------------------- --=�r--------------------------------------- <br /> THE APpZICANT IS: (circle one) WrIER �or CONTRACTOR <br /> � ?�� �- C�` l� p S1�tJ 4_ ��D zzP- �� 5 ��� � <br /> JOB SITE ADDRSSS: <br /> (wcrk) ��,�j_-�.��, l� <br /> • �� I L l� � �z L �„�, �_ f L kj � t4 rl.�� 1 PHONE: �home) 7 73_j"��f � <br /> N� OF OWNER- <br /> :�iAII,ING ADDRESS: � /�� N�Y S i� �-- IVJ CITY: /1��I�L.�..�C./� �yl.� ZIP: JS 3�`� <br /> CONTRACTOR: PH��' <br /> 'cSAII.ING ADDRESS: CITY: ZIP: <br /> STATS LICENSE: � <br /> ARCHITECT/ENGINEER: PHONE: <br /> �i�SLSNG ADDRBSS: CITY: ZIP: <br /> �A�� RBGISTRATION a <br /> TYPE OF WORR: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration ✓" Renovate Land Alteration <br /> PROPOSF.D WORR (describe i.n detail) : ��%'�l �%� � j�d C� � d �t-1�- �-i"�C�� <br /> �-�"1 �."�'fi V- S t�c,��� S I � ,S �` �Y�"� <br /> :aTORIES: SQ. FEET OF EACH FLO�R= <br /> :a_ OF B$DROOMS: GARAGS STAI.LSs ATT. DET. <br /> . �-' , <br /> ��:STgSATED CONSTRIICTION VALIIATION (eacl.nding land) : $� ��% L��' <br /> � hereby apply for a building permit and I acknowledge that the iaformation <br /> bove is complete and accurate; that the work wil.l be in conformance with the <br />_:rdinances and codes of the City and with the State Building Code; that I <br /> .nderstand this is not a permit and work is not to start wit:�out a permit; and <br /> ,'�at the work wiI 1 be in accordance with the approved plan. . <br /> � �` �) <br /> _?PZICANT`S SIGNATURE: <br /> � l,�t,�(�,j,��. f7�,�` '�C�tnL� DATE: <br />